Ms Tracy Ford, FNP | |
6913 N Main St, Granger, IN 46530-8039 | |
(574) 647-1500 | |
(574) 243-4306 |
Full Name | Ms Tracy Ford |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 6913 N Main St, Granger, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376925891 | NPI | - | NPPES |
201309890 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71005567A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lakeland Homecare | Benton harbor, MI | Home health agency |
Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakeland Medical Practices | 1658427042 | 260 |
Entity Name | Lakeland Medical Practices |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
Mailing Address | Practice Location Address |
---|---|
Ms Tracy Ford, FNP 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-1070 | Ms Tracy Ford, FNP 6913 N Main St, Granger, IN 46530-8039 Ph: (574) 647-1500 |
Megan Vermilyer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1500 | |
Rebecca L Allen-legault, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6910 N Main St Unit 52, Granger, IN 46530 Phone: 574-231-6766 Fax: 833-249-2411 | |
Dr. Sara Golden, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1500 | |
Mrs. Tamara L Riess, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1550 Fax: 574-243-4306 | |
Emily Peak, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 52500 Fir Rd, Granger, IN 46530 Phone: 574-234-8161 | |
Roni Aizigov, CRNA, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 51050 Bittersweet Rd Ste B, Granger, IN 46530 Phone: 718-208-0446 Fax: 574-244-0240 | |
Kristi M Troyer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 Memorial Dr, Ste 403, Granger, IN 46601 Phone: 574-647-1405 Fax: 574-647-3970 |